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Based on public Medicaid payment data.

Average Medicaid Cardiac Stress Test Payments

Typical Medicaid Cardiac Stress Test reimbursement across 1,472 cities

Avg. Medicaid Paid

$209.51

Price Range

$-1.05 – $1,833

Total Claims

1.9M

Cities

1472

Typical Payment Range

Typical Medicaid Cardiac Stress Test payments fall between $33.80 and $201.33 per claim (median: $59.15). The top 10% of payments exceed $368.19.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

A stress test evaluates how the heart performs under physical stress. May include exercise on a treadmill or stationary bike, or medication-induced stress with imaging.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Albuquerque, NM $421.75 $35.09 – $515.33 2,578 12
Farmington, CT $380.83 $18.81 – $527.74 2,582 5
Albany, GA $376.55 $11.91 – $396.85 2,585 3
Natchez, MS $74.92 $8.58 – $76.54 2,618 3
Travis Afb, CA $45.18 $45.17 – $46.68 2,654 2
Caguas, PR $359.20 $55.01 – $387.64 2,661 4
Steubenville, OH $170.14 $49.67 – $402.73 2,662 4
Clifton, NJ $28.98 $17.96 – $30.37 2,682 5
New Albany, IN $59.57 $32.69 – $93.34 2,769 7
Hewlett, NY $231.64 $231.64 – $231.64 2,773 1
Kingman, AZ $919.14 $26.08 – $1,000 2,844 5
Logan, WV $243.38 $42.56 – $419.41 2,859 3
Newport News, VA $524.08 $35.39 – $572.87 2,873 3
Fort Smith, AR $103.38 $30.26 – $132.01 2,884 7
Oxford, MS $267.03 $35.78 – $325.35 2,884 4
Charlottesville, VA $669.72 $16.93 – $883.29 2,905 6
Tacoma, WA $244.79 $18.43 – $316.57 2,976 16
Anderson, SC $264.03 $22.12 – $305.82 2,980 6
East Orange, NJ $117.35 $117.35 – $117.35 2,988 1
Las Cruces, NM $223.42 $54.42 – $515.16 3,000 6
Cotto Laurel, PR $146.10 $146.10 – $146.10 3,020 1
Jackson, MS $372.18 $11.10 – $608.39 3,168 7
Linden, NJ $140.76 $140.76 – $140.76 3,171 1
Gainesville, GA $379.73 $26.44 – $386.95 3,192 2
Green Bay, WI $121.80 $39.45 – $145.23 3,207 8
Norwich, CT $358.76 $21.55 – $399.74 3,210 6
Southfield, MI $50.77 $44.00 – $241.25 3,214 7
Long Island City, NY $453.44 $61.70 – $801.56 3,222 2
Belleville, NJ $137.62 $24.74 – $158.35 3,228 2
Hialeah, FL $140.22 $0.00 – $296.29 3,238 8
Rego Park, NY $16.95 $16.95 – $16.95 3,240 1
Hackensack, NJ $99.20 $9.62 – $213.44 3,254 4
Hazard, KY $110.14 $38.69 – $146.10 3,270 5
Riverside, CA $215.03 $30.16 – $486.19 3,279 16
Parkersburg, WV $278.50 $11.43 – $359.12 3,340 6
Springfield, MA $420.34 $15.30 – $491.99 3,342 12
Hammond, LA $104.49 $48.97 – $112.71 3,350 3
Morristown, NJ $253.23 $53.71 – $256.36 3,359 2
Livingston, NJ $233.85 $14.84 – $335.55 3,364 6
Norfolk, VA $410.69 $27.58 – $575.97 3,369 9
Upland, CA $172.83 $8.97 – $276.60 3,376 6
Danville, KY $378.88 $27.21 – $399.18 3,412 3
Muskegon, MI $196.70 $43.93 – $415.46 3,412 2
Columbia, SC $281.28 $142.16 – $644.84 3,414 4
Alexandria, LA $112.82 $2.56 – $139.80 3,527 11
Carmichael, CA $44.51 $18.75 – $540.46 3,611 6
Van Nuys, CA $123.10 $17.76 – $156.33 3,637 6
Baltimore, MD $64.97 $0.43 – $376.95 3,639 22
Hamden, CT $89.69 $83.23 – $100.13 3,676 4
Fort Wayne, IN $165.18 $23.39 – $275.99 3,689 19

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code Description Avg. Paid Claims Providers
78452 Myocardial perfusion SPECT multi $209.41 1,982,012 4,979
78451 Myocardial perfusion SPECT $235.22 18,149 100
78454 Myocardial perfusion planar multi $59.92 7,277 58
78453 Myocardial perfusion planar $38.36 829 2

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.